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Voluntary disclosure program application

  1. This form is available for businesses to use under the City’s voluntary disclosure program. The form is not mandatory. A letter may be submitted in place of this form. Business should also include the following information:
    • Schedules (by year) showing gross income generated in Everett by classification along with any deductions; and, • Taxpayer Authorized Representative Declaration if the business is represented by a third party
  2. Business Name
  3. Physical Address
  4. Mailing Address
  5. Contact Information
  6. I certify that all of the above information is true to the best of my knowledge
    Please enter the information below to certify and submit your application for voluntary disclosure.
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  8. This field is not part of the form submission.